{"entity":{"id":"idea-tr1-live-trial-slot-api","kind":"idea","name":"A live 'seats available' feed for trial slots, like airline inventory","aka":[],"tldr":"Trial registries say a study is 'recruiting' long after it stopped, and never say whether a slot is actually open this week. A live feed of open slots per arm and site would let clinicians refer with confidence.","summary":"Sponsors and sites publish, via a standard API, per-arm and per-site slot availability updated at least weekly (open, waitlist, closed, expected reopening), consumed by matching tools, genomic report generators and the public registry. Incentive: registries flag trials whose status has not been confirmed within 30 days as 'status unverified'.","asOf":"2026-09-08","links":[{"label":"Bottleneck evidence (Trials enrol too few, too slowly): Unger et al., Systematic review of barriers to cancer trial participation (JNCI 2019)","url":"https://doi.org/10.1093/jnci/djy221"}],"tags":[],"related":["clinicaltrials-gov"],"cancers":[],"sections":[],"technologies":["ai-trial-matching"],"targets":[],"drugs":[],"companies":["cancer-commons"],"institutions":[],"pathways":[],"terms":[],"trials":[],"people":[],"bottlenecks":["b-trial-enrolment","b-data-silos"],"keyPapers":[],"journals":[],"dependsOn":[],"notes":[],"hypothesis":"Referrals made against live slot data will convert to enrolment at a higher rate and fewer patients will be referred to closed arms, measured by referral-outcome tracking at participating centres.","rationale":"Stale status is a leading cause of failed referrals and of clinician distrust of matching tools. Inventory visibility solved analogous problems in travel and retail.","test":"Pilot with three sponsors and one regional referral network; compare referral-to-enrolment conversion and wasted referrals against the prior year.","maturity":"speculative","actor":"engineering","cost":"medium","horizonYears":2},"route":"/ideas/idea-tr1-live-trial-slot-api/","neighbours":{"collection":[{"id":"clinicaltrials-gov","kind":"collection","name":"ClinicalTrials.gov","route":"/collections/clinicaltrials-gov/"}],"technology":[{"id":"ai-trial-matching","kind":"technology","name":"AI trial matching & clinical decision support","route":"/technologies/ai-trial-matching/"}],"company":[{"id":"cancer-commons","kind":"company","name":"Cancer Commons","route":"/companies/cancer-commons/"}],"bottleneck":[{"id":"b-data-silos","kind":"bottleneck","name":"Data silos","route":"/bottlenecks/b-data-silos/"},{"id":"b-trial-enrolment","kind":"bottleneck","name":"Trials enrol too few, too slowly","route":"/bottlenecks/b-trial-enrolment/"}]}}